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Individual

MR. WOODY JONATHAN ROSALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 537-6200
Mailing address
3131 PRINCETON PIKE, BLDG 5 SUITE 208, LAWRENCEVILLE, NJ 08648
(609) 815-7829
(609) 815-7894

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00611500
NJ
363L00000X
Nurse Practitioner
26NR11472300
NJ
363LF0000X
Family Nurse Practitioner
26NJ00611500
NJ

Other

Enumeration date
12/29/2015
Last updated
02/10/2022
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